0001213900-23-062535.txt : 20230802 0001213900-23-062535.hdr.sgml : 20230802 20230802160608 ACCESSION NUMBER: 0001213900-23-062535 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230731 FILED AS OF DATE: 20230802 DATE AS OF CHANGE: 20230802 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: JOLAS PAUL M CENTRAL INDEX KEY: 0001245559 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38186 FILM NUMBER: 231135515 MAIL ADDRESS: STREET 1: 331 N. MAIN ST. CITY: EULESS STATE: TX ZIP: 76039 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Custom Truck One Source, Inc. CENTRAL INDEX KEY: 0001709682 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-EQUIPMENT RENTAL & LEASING, NEC [7359] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 7701 INDEPENDENCE AVENUE CITY: KANSAS CITY STATE: MO ZIP: 64125 BUSINESS PHONE: (816) 241-4888 MAIL ADDRESS: STREET 1: 7701 INDEPENDENCE AVENUE CITY: KANSAS CITY STATE: MO ZIP: 64125 FORMER COMPANY: FORMER CONFORMED NAME: NESCO HOLDINGS, INC. DATE OF NAME CHANGE: 20190730 FORMER COMPANY: FORMER CONFORMED NAME: Capitol Investment Corp. IV DATE OF NAME CHANGE: 20170619 4 1 ownership.xml X0508 4 2023-07-31 0 0001709682 Custom Truck One Source, Inc. CTOS 0001245559 JOLAS PAUL M 7701 INDEPENDENCE AVE KANSAS CITY MO 64125 0 1 0 0 EVP, General Counsel & Sec 0 Restricted Stock Unit 2023-07-31 4 A 0 67500 0 A Common Stock 67500 67500 D Restricted Stock Unit 2023-07-31 4 A 0 67500 0 A Common Stock 67500 67500 D Performance Stock Unit 2023-07-31 4 A 0 33750 0 A Common Stock 33750 33750 D Performance Stock Unit 2023-07-31 4 A 0 33750 0 A Common Stock 33750 33750 D Each restricted stock unit represents a contingent right to receive one share of the Issuer's common stock. The restricted stock units will vest in four substantially equal annual installments beginning on April 1, 2024. The restricted stock units will vest in four substantially equal annual installments beginning on April 1, 2025. Each performance stock unit represents a contingent right to receive one share of the Issuer's common stock. The performance stock units will vest if the volume-weighted average price per share of the Issuer's common stock achieves certain thresholds over the applicable performance period. Each performance stock unit represents a contingent right to receive one share of the Issuer's common stock. The performance stock units will vest if the volume-weighted average price per share of the Issuer's common stock achieves certain thresholds over the applicable performance period. By: /s/ Paul M. Jolas 2023-08-02